ChroniC panCreatitis: south indian perspeCtive
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چکیده
It was Zuidema from Indonesia who first reported a series of 45 patients with pancreatic calcification with diabetes mellitus who were poor and consumed a proteinand calorie-deficient diet, and also had striking clinical features of malnutrition like emaciation, parotidomegaly, hair and skin changes not unlike that of Kwashiorkor.1 This was followed by a series of reports of similar patients from various tropical countries in Asia (India, Bangladesh, Sri Lanka), Africa (Uganda, Nigeria, Zambia, Madagascar), and South America (Brazil) following which tropical pancreatitis (TCP) came to be recognized as a distinct entity with unique clinical and epidemiological features different from that of alcoholic chronic pancreatitis (ACP). The first case of pancreatic calculi in India was reported in 1937 by Kini.2 The largest series was reported by Geevarghese from the south-western state of Kerala who immortalized the uniqueness of this entity by the aphorism that these patients typically had “pain in childhood, diabetes in adolescence and death during prime of life”.3 Thus TCP was a disease that had exceptionally distinctive features at the time it was described.4
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تاریخ انتشار 2012